A tension headache causes constant, steady ache and tightness around your forehead, both temples, or the back of your head and neck. Usually, pain from a tension headache is mild to moderate. It doesn’t usually keep you from doing your daily tasks. But the pain can sometimes be severe or continuous and disruptive.
These headaches are common and tend to come back, especially when you are under stress. Tension headaches can last anywhere from 30 minutes to several days.
Unlike other headaches (such as migraines), tension headaches do not usually cause nausea, vomiting, or sensitivity to both light and noise (although sensitivity to one or the other is possible), and they are usually not disabling.
If you have tension headaches for 15 days or more a month, you may have chronic tension headaches.
Prescription headache drugs can have side effects that range from mild to severe. But these drugs can also very effectively stop or prevent tension headache symptoms, which will greatly improve your quality of life.
Consider the following when making your decision:
* For occasional mild to moderate tension headaches, taking nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin, may be all you need to relieve your symptoms. These drugs are safe and have few side effects. But avoid using nonprescription drugs more than 3 times a week, because you may get rebound headaches.
* For chronic tension headaches that affect daily living, prescription drugs can relieve your symptoms and restore your ability to function. You will lose less time from work or school and improve the quality of your life.
* Some pain relievers that are used to treat tension headaches can become addictive, have serious side effects, and interact poorly with other drugs that you are taking. As with NSAIDs, you may also suffer rebound headaches if you take pain relievers too often.
* Taking certain drugs, such as antidepressants, every day may help prevent frequent and severe chronic tension headaches.
Treatment for tension headaches may include nonprescription pain relievers or prescription drugs (such as antidepressants). You may try other therapies, including stress management or biofeedback, to treat or prevent tension headaches.
Antidepressants and anticonvulsants are drugs that are used to treat chronic or severe tension headaches. Amitriptyline, a tricyclic antidepressant, has been proven to greatly reduce how often you get tension headaches and how long they last. The anticonvulsant divalproex sodium (for example, Depakote) is also an effective treatment for chronic tension headaches.
Your choices are:
* Take nonprescription pain relievers such as aspirin or ibuprofen to control symptoms of tension headaches as they occur.
* Take prescription drugs such as antidepressants every day to reduce the frequency and severity of chronic tension headaches.
The decision about whether to take prescription drugs to treat tension headaches takes into account your personal feelings and the medical facts.
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